A koronária-CT bevezetésének első tapasztalatai a Bajcsy-Zsilinszky Kórházban

Abstract

A krónikus koronáriaszindróma kivizsgálása során egyre nagyobb szerepet kapnak a noninvazív anatómiai képalkotó vizs--betegek átlagos preteszt probability értéke a 2019-es európai ajánlás alapján számolva az alacsonyabb tartományba esett (13,5±10,5%). Agatston-score alapján a betegek 25,2%-ának nem volt koronáriameszesedése, 23,3%-ánál minimálisan, került leírásra. A klinikailag indokolt esetekben szívkatéteres vizsgálat történt, amellyel, mint gold standarddal összehasonlít---Non-invasive imaging techniques have an increasing role in chronic coronary syndrome assessment. Due to it's high negative predictive value and low rate of complications, coronary CT angiography is an excellent method for excluding obstructive diovascular events. In our hospital coronary CT was initiated in 2018. Since then until the end of 2019, 217 examinations were performed (female: 52%, average age: 56,7±12,7 years), the data of which were analysed retrospectively. The most common indications were chest pain (67%), shortness of breath on exertion (9%) and high cardiovascular risk (8%). The average preobstructive coronary artery disease was found in 24% of the patients. Compared to invasive coronary angiography (which was performed in the clinically reasonable cases), the negative predictive value was consistent with the values in the international literature (in vessel-based analysis 96%, in patient-based analysis 100%).To assess the development, we compared the data quality and increase in the proportion of prospectively ECG-gated exams. In conclusion, coronary CT angiography, performed in our facility, could be appropriately used for the assessment of chronic coronary syndrome according to international guidelines.